Provider Demographics
NPI:1679993133
Name:PATEL, PURVA (LMFTA, LPCI)
Entity type:Individual
Prefix:MS
First Name:PURVA
Middle Name:
Last Name:PATEL
Suffix:
Gender:F
Credentials:LMFTA, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1539 CASTLE CT APT 4
Mailing Address - Street 2:4
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77006-5746
Mailing Address - Country:US
Mailing Address - Phone:713-487-7782
Mailing Address - Fax:
Practice Address - Street 1:2017 COLQUITT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3405
Practice Address - Country:US
Practice Address - Phone:713-487-7782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71226101YP2500X
TX202073106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional